Order Form 
PICK UP WILL BE AT 
ALOHA ISLAND MARKET  AZ 
SATURDAY, September 18
 11AM-5PM
454 N. Lindsay Rd, Mesa, AZ 
(Put orders in before 8 pm Friday night)
Item
Price
$25
$22
Type In Flavor Choices Below
Choose up to 5 Flavors Per Box
Example -Box 1-  Strawberry, Chocolate, Pineapple,  Mango, Guava 
                 Box 2 - Chocolate, Custard, Guava, Guava & Cream
 Choose From These Flavors-

Strawberry, Strawberry & Cream, Custard, Chocolate, Key Lime, Pineapple, Raspberry & Cream, Raspberry, Mango, Mango & Cream, Guava, Guava & Cream 

First Name 
Last Name 
Email:
Phone Number:
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:
Item amount
Dynamically Updated $XX.00

Text Mary with Questions 801-643-6654

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